Repaglinide and Gemfibrozil Interaction

Drug interaction information between Repaglinide and Gemfibrozil.

Repaglinide and Gemfibrozil have a documented major interaction in FDA labeling.

FDA drug labeling documents a major-severity interaction between Repaglinide and Gemfibrozil. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Repaglinide

Meglitinide

Drug B

Gemfibrozil

Fibrate

How They Interact

Gemfibrozil stops your body from getting rid of repaglinide, which causes the level of repaglinide in your blood to become dangerously high.

Frequently Asked Questions

What SPL severity band is on file for Repaglinide + Gemfibrozil?

Compiled FDA labeling labels this pair major. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Repaglinide has 22 labeled pairs on file vs Gemfibrozil's 20. In the major band specifically: Repaglinide has 2 (also Clarithromycin); Gemfibrozil has 4 (also Ezetimibe, Ezetimibe/Simvastatin, Simvastatin).

What mechanism field is on file for Repaglinide and Gemfibrozil?

Gemfibrozil stops your body from getting rid of repaglinide, which causes the level of repaglinide in your blood to become dangerously high.

Gemfibrozil carries more major-labeled pairs than Repaglinide

SPL source-record counts only. This page's band is major · classes on file: Repaglinide (Meglitinide); Gemfibrozil (Fibrate).

Gemfibrozil has 4 major-labeled pairs vs Repaglinide's 2.

Repaglinide

2 major · 3 moderate · 17 minor · 22 total

Gemfibrozil

4 major · 8 moderate · 8 minor · 20 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.